Normalising birth for women with a disability: The challenges facing practitioners
Normalising birth for women with a disability: The challenges facing practitioners
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DOI：
10.1016/j.midw.2011.10.007
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发表时间：
2013-04-01
期刊：
影响因子：
2.7
通讯作者：
Clarke, Ruth
中科院分区：
文献类型：
--
作者：
Walsh-Gallagher, Dympna;Mc Conkey, Roy;Clarke, Ruth
之前对残疾孕妇和她们的产妇护理经验的研究表明，这些母亲认为自己是“常年的局外人”，助产士会因为她们的残疾而自动将她们归类为“高风险”。他们还认为，她们的选择、控制和持续护理的能力不被认为是她们主流产科护理的一部分，因为她们不符合“正常”类别。目的：这项研究是为了探索爱尔兰医院的两个多专业团队对如何改善对这些母亲的产科服务的看法。参与者：来自助产、社会工作和公共卫生护理的19名医疗保健专业人员被招募。背景：来自两家主要妇产医院的两家，一家在北部，一家在爱尔兰南部。设计：选择的方法是定性方法，使用焦点小组访谈，其中提出并讨论了描绘妇女分娩经历的范围和广度的案例研究。研究采用了Newell和Burnard(2006)的六个阶段的主题内容分析方法。结果：专业人员认为残疾妇女的故事可信、令人沮丧和具有挑战性。主要结论：工作人员承认他们在残疾方面缺乏能力、知识和技能，并认为，反思后，他们未能与残疾妇女协商和合作，导致他们未能为残疾妇女提供以妇女为中心的个性化护理。实践的实施：一系列改进实践的建议获得同意。(C)2011爱思唯尔有限公司。保留所有权利。
Previous research on pregnant women with a disability and their experience of maternity care demonstrated that these mothers perceived themselves to be the 'perennial outsiders' with midwives automatically categorising them as 'high risk' because of their disability. They also felt that their ability to make choices, stay in control and have continuity of care was not considered to be part of the mainstream maternity care for them because they did not fit the 'normal' category.Objective: this research was undertaken to explore the perceptions of two multiprofessional teams in Irish hospitals as to how maternity services to these mothers can be improved.Participants: nineteen health-care professionals from midwifery, social work and public health nursing were recruited.Setting: two from two major maternity hospitals, one in the North and one in the South of Ireland. were featured.Design: the method chosen was a qualitative approach, using focus group interviews in which case studies depicting a range and breadth of women's birthing experiences were presented and discussed. Newell and Burnard's (2006) six stage approach to thematic content analysis was used.Findings: the professionals found the disabled women's stories believable, upsetting and challenging.Key conclusions: Staff acknowledged their 'lack of competence, knowledge and skill' regarding disability and felt that, on reflection, their failure to consult and collaborate with disabled women contributed to their failing to provide individualised woman centred care to women with a disability.Implications of practice: A series of recommendations for improved practice was agreed. (C) 2011 Elsevier Ltd. All rights reserved.